"}}]}Skip directly to site contentSkip directly to page optionsSkip directly to A-Z linkCenters for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People SearchSubmitHIVSection NavigationCDC Home Facebook Twitter LinkedIn Syndicate Ways HIV Can Be TransmittedEspañol (Spanish)MinusRelated PagesHow is HIV passed from one person to another?Most people get HIV through anal or vaginal sex, or sharing needles, syringes, or other drug injection equipment (for example, cookers). But there are powerful tools to help prevent HIV transmission.
A sitz bath is a therapeutic warm water bath that immerses just the buttocks and hips. It can provide comfort and relief from hemorrhoids, anal herpes, proctitis, fissures, and more. The addition of salt helps relieve pain.
If using a suppository, stand with one foot on a chair or shower side. Relax your back and buttocks. Insert the suppository into the rectum. Gently but firmly push the medicine or capsule past the anal sphincter.
While the rectum or anus is healing, consider using a stool softener to make bowel movements easier to pass. This will relieve pressure on the delicate tissues and reduce the chances of additional bleeding.
If you have any worries or concerns regarding anal bleeding, you can always run them by your doctor. That being said, not all bleeding after anal sex situations may necessarily require you to see your doctor right away
Another common cause of mild spotting after anal sex may be due to the irritation of internal haemorrhoids. Haemorrhoids (or piles) occur when the blood vessels found in and around the anus become swollen, likely due to increased pressure to the rectum through issues like constipation. They may therefore be exacerbated by penetrative anal sex, leading to some bleeding after. This may also cause a bit of spotting when you go to the toilet, however your symptoms should settle within a couple of days.
As with any other type of sex, there is the risk of getting an STI when you have anal sex, which can also sometimes play a role in anal bleeding. Common STIs such as chlamydia and gonorrhoea may cause swelling of the anus and can also be associated with increased pain during anal sex, bleeding after anal sex, and discharge from the back passage.2 Anal warts caused by HPV and herpes ulcers may also cause some bleeding when irritated during anal sex.
Mild spotting after anal sex is usually not much cause for concern, and if you are experiencing this, it is advisable to avoid further anal sex for at least a few days while you wait for things to heal. You can also help your body by eating a high fibre diet, to keep your bowel movements regular and avoid constipation.3
However, if you find that your bleeding or pain symptoms do not settle within a couple of days, or worsen, you should see your doctor, who may want to rule out more intense anal injury or underlying conditions. For example, though anal fissures and haemorrhoids often resolve on their own, they can sometimes recur and cause more chronic bleeding and pain that may need further investigation and possible treatment.
Your doctor will take a history and perform a routine examination, and can advise you on symptom relief and potential treatments if required. Occasionally, they may want to carry out further investigations to help guide their diagnosis and treatment, or rule out other, less common causes of anal bleeding.
Since bleeding from the anus could be a sign of a medical condition besides hemorrhoids, I consulted with Mark P. Behar, PA-C, a health-care provider who specializes in sexual health and sees many male patients with same-sex partners. Mark works at Milwaukee Health Services Inc. and volunteers at Brady East STD (BESTD) Clinic.
Mark says, "Everyone has hemorrhoidal veins in the rectum, and when they are chronically irritated, they are considered the affliction known as "hemorrhoids." [Note from Laura: Read my earlier column about hemorrhoids and anal sex here]. Hemorrhoids may bleed, itch and swell, but so do other anorectal problems like fissures, fistulae, abscesses, warts, herpes, other STDs, etc. So, most importantly, the first thing to do is to accurately diagnose the problem so that you know exactly how to treat or manage it.
"This requires evaluation by someone skilled at examining butts and using an instrument known as an anoscope to look inside a couple of inches to make sure there isn't something else going on. The quickest, easiest and least expensive way to do that is by going to the Brady East STD Clinic, open Monday and Tuesday nights for a free exam. If an STD is found, such as genital warts, then these must be effectively treated before you can hope to have sex without any bleeding.
"Once your partner is either treated or found to be free from an infectious cause, then management for the acutely flared hemorrhoids is in order, usually with a prescription steroid rectal suppository and something to prevent constipation. The best lubricant for anal sex is one that is nonirritating and pleasing to both partners. This can range from a water-soluble jelly like K-Y to a silicone-based lubricant (many brands). [Note from Laura: The most popular water-based gels for anal sex at the Tool Shed are Maximus or Sliquid Ride, and the most popular silicone lubricants for anal sex are Pjur Gel or Gun Oil.] Absolutely do not use mentholated or anesthetic-type lubricant! If you wear condoms, avoid any petrolatum-based product, as this can break down the condom and cause it to fail.
Being a proud member of the anal sex fan club is fun for so many reasons. One is that I get to do things like investigate anal-sex-induced bleeding for you, dear reader. Trust me when I say I understand how alarming it can be.
As a queer woman who dates people of all gender identities, I love that anal pleasure is something most interested people can enjoy regardless of orientation, gender, or genitals. Anal also just feels really excellent for me. But nothing jolts me out of post-anal bliss like a little bit of butt bleeding.
The lining of the anus and rectum are very thin, according to the CDC. This lining can tear easily under pressure, like the kind that happens during anal penetration or when you strain to poop. These tears, known as anal fissures, can cause bright red blood, pain, and even visible cracks in the skin around your anus, according to the Mayo Clinic.
Anal penetration can also irritate hemorrhoids you may not even realize you have, Dr. Sokol says. Hemorrhoids are essentially cushions of blood vessels inside and outside of your anus, according to the Mayo Clinic. They typically arise due to increased pressure on the lower rectum, which can happen for a variety of reasons. Take pregnancy, for example. The weight gain can add stress to that portion of your body. Hormone fluctuations in pregnancy can also make it feel nearly impossible to poop, which can lead to bearing down, which can then lead to hemorrhoids. Interestingly, the Mayo Clinic points out that anal sex can create enough pressure to cause hemorrhoids, too.
If you have no idea where to begin, here are a few suggestions. Overall, the goal is to do what feels good, comfortable, and exciting for you. This is a general guide for experimenting with anal, not a hard-and-fast sequence of steps to which you must adhere. The only exception is the hygiene-related advice, which you should definitely follow to stay as safe and sanitary as possible.
Proctitis can cause rectal pain, diarrhea, bleeding and discharge, as well as the continuous feeling that you need to have a bowel movement. Proctitis symptoms can be short-lived, or they can become chronic.
To reduce your risk of proctitis, take steps to protect yourself from sexually transmitted infections (STIs). The surest way to prevent an STI is to abstain from sex, especially anal sex. If you choose to have sex, reduce your risk of an STI by: 2b1af7f3a8